Unusual cause of intermittent claudication

VASA ◽  
2004 ◽  
Vol 33 (4) ◽  
pp. 257-259 ◽  
Author(s):  
Thalhammer ◽  
Aschwanden ◽  
Blum ◽  
Labs ◽  
Jaeger
Keyword(s):  
Iliac Artery ◽  
Similar Case ◽  
Rare Event ◽  
External Iliac Artery ◽  
Peripheral Artery ◽  
Spontaneous Healing ◽  
Non Invasive ◽  
Left Calf ◽  
Spontaneous Dissection ◽  
Leg Ischemia

Spontaneous dissection of a peripheral artery is a rare event. We report a case of a spontaneous, non-atherosclerotic and non-aneurysmal dissection limited to the external iliac artery in a 60-year-old woman who was admitted with a left calf claudication. Non-invasive examination documented signs of leg ischemia due to a floating wall dissection of the external iliac artery. After medical treatment over eight weeks the dissection membrane had been adapted to the vessel wall. A similar case of a spontaneous dissection limited to the external iliac artery, followed by a spontaneous healing has not been reported in the literature.

scholarly journals Management of a Spontaneous Dissection of the Right External Artery

2021 ◽  
Vol 4 (5) ◽  
pp. 01-04
Author(s):  
Majdi Gueldich ◽  
Héla Ben Jemâa ◽  
Saif Hadhri ◽  
Nawel Hchaichi ◽  
Aymen Damak ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Open Repair ◽  
Rare Event ◽  
Vascular Diseases ◽  
External Iliac Artery ◽  
Limb Ischemia ◽  
Artery Dissection ◽  
History Of ◽  
The Right ◽  
Spontaneous Dissection

Introduction: Isolated spontaneous iliac artery dissection is a rare event that is usually linked to connective disorders. There is no established consensus yet on treatment modality. Case report: we report the case of a 44 years old patient with no history of vascular diseases or trauma who was admitted in our institution for a spontaneous dissection of the right external iliac artery. Conclusion: management of spontaneous iliac artery dissection is not well defined. In fact, patients could be safely managed with medical therapy in the absence of signs of complications. Endovascular and open repair are reserved for patients with complications like limb ischemia or imminent artery rupture.

Spontaneous Dissection of the External Iliac Artery Secondary to Golf Club Manufacturing

2012 ◽  
Vol 47 (1) ◽  
pp. 73-75 ◽  
Author(s):  
S. Yoong ◽  
G. Heyes ◽  
G. W. Davison ◽  
R. Hannon ◽  
M. E. O’Donnell
Keyword(s):  
Iliac Artery ◽  
External Iliac Artery ◽  
Golf Club ◽  
Spontaneous Dissection

Spontaneous dissection of the external iliac artery due to fibromuscular dysplasia

VASA ◽  
2002 ◽  
Vol 31 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Lück ◽  
Hanschke ◽  
Geißler ◽  
Gruß
Keyword(s):  
Iliac Artery ◽  
Fibromuscular Dysplasia ◽  
External Iliac Artery ◽  
Claudicatio Intermittens ◽  
Fand Sich ◽  
Fibromuskuläre Dysplasie ◽  
Intraoperative Angiographie ◽  
Spontaneous Dissection

Bei einem 45-jährigen Mann wurde im Rahmen der Abklärung einer neu aufgetretenen Claudicatio intermittens eine Spontandissektion der rechten A.iliaca externa diagnostiziert. Nach primär konservativem Vorgehen erfolgte aufgrund einer nach distal progredienten Dissektion nun die operative Sanierung, angesichts des jungen Alters des Patienten in Form einer retrograden TEA über einen Führungsdraht. Die intraoperative Angiographie zeigte ein gutes Rekonstruktionsergebnis der A.iliaca externa re. bei unauffälliger A.iliaca communis sowie ebenfalls unauffälliger infrarenaler Aorta. Histologisch fand sich ursächlich für die spontane Dissektion eine fibromuskuläre Dysplasie der Media. Postoperativ waren rechtsseitig beide Fußpulse kräftig tastbar bei einem Dopplerindex von 1,0. Nach unauffälligem postoperativem Verlauf wurde der Patient beschwerdefrei mit unbegrenzter Gehstrecke wieder nach Hause entlassen. Wenig später beklagte der Patient erneut belastungsabhängige Schmerzen des rechten Beines. Ursächlich fand sich nun eine umschriebene Stenose der A.iliaca communis rechts sowie eine retrograde Dissektion der rechten A.iliaca communis bis in die terminale Aorta reichend. Vom vorbehandelnden Heimatkrankenhaus wurde dem Patienten zunächst zu einer konservativen Therapie geraten. Der Befund ist klinisch und sonographisch seit sechs Monaten unverändert.

Adventitial Cystic Disease of the External Iliac Artery - A Case Report

Swiss Surgery ◽  
2001 ◽  
Vol 7 (2) ◽  
pp. 90-94 ◽  
Author(s):  
Heim ◽  
Rosso
Keyword(s):  
Case Report ◽  
Iliac Artery ◽  
External Iliac Artery ◽  
Cystic Disease ◽  
Adventitial Cystic Disease ◽  
Präoperative Abklärung

Die zystische Degeneration der Adventitia (ZAD) in der A.iliaca externa ist mit zehn in der Literatur beschriebenen Fällen ein seltenes Phänomen. Eine rasch auftretende, einseitige Ischämiesymptomatik bei jungen Patienten sollte daran denken lassen und eine erweiterte präoperative Abklärung zur Folge haben. Die klassische Therapie mit Gefässresektion und Veneninterponat wird seit jeher kontrovers diskutiert. Wir berichten über einen Fall mit rezidivfreiem Verlauf über drei Jahre nach Exarterektomie.

Endovascular Treatment of External Iliac Artery Injuries After Hip Arthroplasty

2003 ◽  
Vol 10 (3) ◽  
pp. 672-675 ◽  
Author(s):  
Roberto Adovasio ◽  
Fabio Pozzi Mucelli ◽  
Giovanni Lubrano ◽  
Cristiana Gasparini ◽  
Manuel Belgrano ◽  
...  
Keyword(s):  
Endovascular Treatment ◽  
Hip Arthroplasty ◽  
Iliac Artery ◽  
External Iliac Artery

scholarly journals Association of changes of pulse wave velocity and augmentation index after isometric handgrip exercise with coronary lesion extent and revascularization

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Seong Taeg Kim ◽  
Yeekyoung Ko ◽  
Jong-Wook Beom ◽  
Ki Yung Boo ◽  
Jae-Geun Lee ◽  
...  
Keyword(s):  
Arterial Stiffness ◽  
Pulse Wave Velocity ◽  
Iliac Artery ◽  
Pulse Wave ◽  
Augmentation Index ◽  
Coronary Revascularization ◽  
External Iliac Artery ◽  
Handgrip Exercise ◽  
Isometric Handgrip ◽  
Isometric Handgrip Exercise

Abstract Background Arterial stiffness is associated with myocardial ischemia and incident coronary artery disease (CAD), and indexes of arterial stiffness are usually increased in patients with CAD. However, these indexes are often increased in elderly without CAD. Arterial stiffness in patients with CAD may become more evident after isometric handgrip exercise which increases systolic pressure and ventricular afterload. We investigated the association of the change of stiffness indexes after isometric handgrip exercise with the lesion extent of CAD and the necessity for coronary revascularization. Methods Patients who were scheduled a routine coronary angiography via a femoral artery were enrolled. Arterial waveforms were traced at aortic root and external iliac artery using coronary catheters at baseline and 3 min after handgrip exercise. Augmentation index (AIx) was measured on the recorded aortic pressure waveform, and pulse wave velocity (PWV) was calculated using the ECG-gated time difference of the upstroke of arterial waveforms and distance between aortic root and external iliac artery. Results Total 37 patients were evaluated. Both PWV and AIx increased after handgrip exercise. ΔPWV was significantly correlated with ΔAIx (r = 0.344, P = 0.037). Patients were divided into higher and lower ΔPWV or ΔAIx groups based on the median values of 0.4 m/sec and 3.3%, respectively. Patients with higher PWV had more 2- or 3-vessel CAD (69% vs. 27%, P = 0.034), and underwent percutaneous coronary intervention (PCI) more frequently (84% vs. 50%, P = 0.038), but higher ΔAIx was not associated with either the lesion extent or PCI. Area under curve (AUC) of ΔPWV in association with PCI by C-statistics was 0.70 (95% confidence interval [CI] 0.51–0.88; P = 0.056). In multiple logistic regression analysis, ΔPWV was significantly associated with PCI (odds ratio 7.78; 95% CI 1.26–48.02; P = 0.027). Conclusions Higher ΔPWV after isometric handgrip exercise was associated with the lesion extent of CAD and the necessity for coronary revascularization, but higher ΔAIx was not.

scholarly journals Isolated bilateral external iliac artery dissections with emotional stress

2021 ◽  
Author(s):  
Shun Kondo ◽  
Hiroyuki Osanai ◽  
Yusuke Sakamoto ◽  
Hiroto Uno ◽  
Kensuke Tagahara ◽  
...  
Keyword(s):  
Emotional Stress ◽  
Iliac Artery ◽  
External Iliac Artery

scholarly journals Treatment of an external iliac artery chronic total occlusion using alternate access sites

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Justin Ratcliffe ◽  
Mike Gorenchtein ◽  
Pankaj Khullar ◽  
Abel Casso Dominguez ◽  
Mohan Satish ◽  
...  
Keyword(s):  
Iliac Artery ◽  
Chronic Total Occlusion ◽  
External Iliac Artery ◽  
Arterial Disease ◽  
Patient Comfort ◽  
Vascular Lesions ◽  
Symptom Improvement ◽  
Total Occlusion ◽  
Maximal Medical Therapy ◽  
Peripheral Arterial

Abstract Background With the advent of endovascular techniques, alternate sites such as the pedal and radial arteries can now be accessed when treating peripheral arterial disease to reduce procedural complications, shorten recovery time, and improve patient comfort. However, a paucity of literature exists on the availability of support devices that can be utilized during challenging cases. Case presentation A 70 year-old female patient presented for evaluation of severe lifestyle-limiting left-sided claudication refractory to maximal medical therapy. Angiography revealed a chronic total occlusion of the left external iliac artery, which was treated successfully by percutaneous intervention via a primary transpedal approach and with the assistance of the Outback® Elite re-entry device. The patient was discharged 2 h after the procedure and reported significant symptom improvement at follow-up. Conclusion This case highlights a newly adopted endovascular approach through an alternate access site and illustrates how the Outback® Elite device can be used as an adjunctive tool in the treatment of complex lower-extremity vascular lesions.

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